Doctor insights on:
Revital Capsule For Angioplasty Patients
Is it safe for a stented(in 2009) patient aged 62years under cardiac medications now to take zolindronic injection (5mg) for orthopaedic purposes?
Ortho inj: Yes .It should cause no problemsGet a more detailed answer ›
How often robotic assisted coronary artery bypass surgery used and advantage co or pro over the regular bypass.
More potent: Plavix (clopidogrel) now has competitor drugs. Effient (prasugrel) is more potent at inhibiting platelets, which prevents clots, but this also leads to higher bleeding risk (double-edged sword). Ticagrelor is another agent with proven benefits similar to Plavix (i.e. Heart attack risk reduction), and seems to be more potent without increasing bleeding, but verdict is out still. ...Read moreSee 1 more doctor answer
Is Clopidogrel and Fenofibrate combination (Generic in UK (Fibrazate) for TIA from Carotid Artery Effective ?.
Yes and ?No: It depends on the condition of your carotids. If there is major degree of Atherosclerosis, then these medicines are of limited use as they are mainly preventive in benefits and work best for those who have no TIAs(which indicate high chance of severe disease). You should get your carotids checked with Ultrasound and or MRI/A to determine the extent of disease. Surgery(Endartrectomy) may help. ...Read more
Tricky: Only the involved cardiologist and thoracic surgeon will make that call. ...Read more
Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?
Moving assistance.: The first few days following a transurethral resection of bladder tumor will be characterized by passage of blood in the urine, urinary frequency, urgency, and possible incontinence. An elderly patient will require help with transfers and traveling to the toilet. For those too frail to make the trip, a bedside commode or a hand-held urinal will be helpful. ...Read more
Depends: It depends on what patient with what conditions. For example, if a patient comes in while they're having a heart attack, going to the cath lab for an angioplasty is much better than a bypass operation. In diabetics with two or more vessels blocked, bypass is much better. It depends on the person's medical condition and the number of vessels really. ...Read moreSee 1 more doctor answer
After 1 year on plavix (clopidogrel) and aspirin for 2 stents for LAD will a patient usuaaly discontinue the plavix (clopidogrel).(diabetic also)?
No: They were tried in the 1960s - they failed. ...Read more
A patient on chronic mao inhibitor's given sublingual nifedipine for hypertensive emergencies (never used in medicine!). Opinions?
No: Chelation therapy (edta) has never been shown to reduce the risk of heart disease or prevent cholesterol deposits. Coronary stents are used to treat blocked arteries. Aspirin and Plavix (clopidogrel) are used to prevent the stent from clotting. The only treatments that have been shown to reduce the risk of coronary events are statins (cholesterol meds) and aspirin. ...Read more
Depends: Too broad a question. Pts with poor heart function , mutiple vessels invoved, diabetics and left main involvement tend to be treated by bypass. The data suggests that the higher risk pts need complete revascularization and this is usually achieved by surger . With drug coated stents and improved technology the gap has closed and either may be suitable. Risks/benefits/alternatives should be discussed. ...Read moreSee 1 more doctor answer
Mitral valve repair surgery with prosthetic material annuloplasty ring 6 months postop are antibiotics required for life for dental work in us & uk?
AHA recommendations: As of now, in the us, according to the aha, yes. I cannot say what the protocol would be in the uk but would assume it was the same. Your own cardiologist is the one to address all your questions and concerns to, both now and in the future. See the following site for more information as to basic recommendations: http://www.Heart.Org/heartorg/conditions/congenitalheartdefects/theimpactofcongenitalheartdefects/infective-endocarditis_ucm_307108_article.Jsp. ...Read moreSee 1 more doctor answer
Interventional radiologists/oncologists: The FDA has approved Nanoknife IRE for use in surgical ablation of soft tissue tumors. An option. Beneficial?
Partial: AppliesHeat: Study the device at http://www.angiodynamics.com/products/rfa-in-service;. The device is basically a method of applying heat to kill tissue using RF energy via a catheter. The problem, as usual, is crude ill-defined targeting; the area affected will be diffuse, not selective/differential of healthy vs. diseased tissue. This only possible advantage is driving tissue damage through smaller incisions ...Read moreSee 1 more doctor answer
What are the risks of eecp for hypertensive and diabetic 68 years old male? Is it a good alternative for heart bypass surgery?
What kinds of medication is recommended for a patient who underwent total hip replacement surgery?
Should be okay: I recommend using an epidural for the surgery and then transition to oral medications a few hours later. I'd also suggest talking to your doctor about giving your a few different types of pain medication immediately before surgery, which helps reduce the amount of pain you experience afterward. Fortunately, hip replacements do not hurt that much - most of our patients walk the same day day. ...Read moreSee 1 more doctor answer
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